Individual provider Active NPI

Ana Raquel Degrazia, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lincoln, RI
National Provider Identifier
1245671445
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2287906 Issued in MA
Practice address
2 Wake Robin Rd
Lincoln, RI 02865-4295
Phone
(401) 333-9595
NPI assigned
Jul 16, 2013
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN01977 RI
Family Nurse Practitioner 363LF0000X 2287906 MA Primary
Registered Nurse 163W00000X RN2287906 MA

Addresses

Primary practice location

2 Wake Robin Rd
Lincoln, RI 02865-4295

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000

Other practice location 1

55 Water St
Rehoboth, MA 02769-1705
Phone (508) 336-6657

Other practice location 2

479 Swansea Mall Dr
Swansea, MA 02777-4119
Phone (508) 973-1570

Other names 1

  • Ana Raquel Pereira Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apereira45958@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513001542 MA Practitioner - Nurse Practitioner 4688917792 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

479 Swansea Mall Dr
Swansea, MA 02777-4119
Phone (508) 973-1570

675 Paramount Dr
Suite 203
Raynham, MA 02767-5416
Phone (508) 738-6740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2287906MAMDRegistered Nurse
2287906MAMDFamily Nurse Practitioner
APRN01977RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Apr 16, 2019 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince May 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2025 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Aug 29, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 16, 2019 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Aug 29, 2022 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

675 Paramount Dr
Ste 203
Raynham, MA 02767
Phone (508) 738-6740

675 Paramount Dr
Ste 301
Raynham, MA 02767
Phone (508) 821-5671

479 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 672-5300

Interoperability endpoints

  • Direct secure messaging: ana.raquel.degrazia.1@32866.direct.athenahealth.com
  • Direct secure messaging: apereira45958@direct.southcoast.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1245671445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654295",
            "telephone_number": "401-333-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Water St",
            "address_purpose": "LOCATION",
            "city": "Rehoboth",
            "state": "MA",
            "postal_code": "027691705",
            "country_code": "US",
            "telephone_number": "508-336-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "479 Swansea Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "MA",
            "postal_code": "027774119",
            "country_code": "US",
            "telephone_number": "508-973-1570",
            "fax_number": "508-973-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGRAZIA",
        "first_name": "ANA RAQUEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2287906",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2287906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apereira45958@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "479 Swansea Mall Dr",
            "city": "Swansea",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027774119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANA RAQUEL",
            "last_name": "PEREIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.